Health & Therapy at Underley Garden

A professional team of on-site and consultant therapists and medical professionals.

Our Health & Therapy team at Underley Garden comprises of Educational Psychologists, a Child and Adolescent Psychiatrist, Speech and Language Therapists, Learning Disability Nurses and Occupational Therapists. This team work closely together and in collaboration with school and care staff, parents and other professionals to provide a holistic approach to interventions.

Therapy targets are integrated into the school day and into the children’s home and embedded into their personalised learning curriculums.

If you would like to find out more information about our therapy services and the team – download our therapy information booklet.


Health and Therapy Services at Underley Garden (Occupational Therapy, Speech and Language Therapy, Educational Psychology and Learning Disability Nursing) enable children and young people to achieve:

  • Well-being and supporting greatest quality of life
  • Greatest potential in engagement and enablement in daily occupations e.g. school
  • Encouraging empowerment in managing lifelong and acute conditions
  • Reduction of the impact of impairment (as far as possible)

In doing this we promote:

  • Greater understanding of impairment and related difficulties
  • Adaptation of the environment and provision of equipment, tools, strategies to support participation in activity
  • Greater life chances, impacting on better long term outcomes for children and young people at Underley Garden

Our aims are based on the International Classification of Functioning (World Health Organisation, 2015). As health professionals we are bound by codes of ethics and professional standards, which mean we strive to ensure our interventions are of the highest calibre, rigorously evidence based and in no way create any harm or distress to the child or young person.


  1. Within the first six weeks of being placed at Underley Garden, the multi- disciplinary therapy and health team carry out detailed observations and assessments (we are also involved in transitions to Underley Garden, where necessary or requested).
  2. Findings from these are discussed with both form teachers, senior care workers and parents (where appropriate) and suggested targets considered, wherever possible with the young person.
  3. At this point a joint target setting meeting is held, attended by form tutor, senior keyworker and therapists involved. Beforehand where appropriate, the young person’s views on what is important to them are gained. The team then, discuss and set useful and meaningful targets for the young person and their teams to work towards across school, therapy and care.
  4. A detailed report is produced for the initial placement meeting. This meeting is an opportunity for these reports/targets to be shared and discussed with parents and other professionals.
  5. Following on from this, a level of therapeutic support is decided upon by the MDT (if it has not already been stipulated by the Education Health Care Plan/ Statement or at point of admission) and an individualised therapy plan created.
  6. Children and young people may be seen for targeted interventions. This means that interventions will be set up and planned by a therapist, and embedded by either a teaching assistant or care keyworker. Interventions are monitored and reviewed as necessary and appropriate.
  7. Children and young people may be seen for specialist interventions, if this would best meet their needs. This takes place in the form of either a 1:1 or group session facilitated by a therapist. Again these are reviewed and monitored at regular intervals.
  8. All therapists have termly meetings with whole class room staff and whole bungalow staff (as and when necessary) to provide advice and support and to monitor targets.
  9. In addition to this, there is a referral system to the therapy team, in place at Underley Garden. This is open to any member of staff or young person who has a concern and wishes to place a referral to the therapy team. A Health and Therapy referral MDT is held every 3 weeks. At this meeting, referrals are discussed and work allocated to therapists accordingly. Action plans are created and outcomes monitored at following meetings.